| cemetery | Warszawa (Okopowa) |
| sector | 73 |
| row | 7 |
| number | 20 |
| sex | M |
| surname | Hermelin |
| first name | Szymon |
| hebrew name | Shimon |
| fathers name | Mordechai |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 5/10/1909 |
| additional info | żył lat 56 |
